Clinical review
ABC of psychological medicineThe consultation
Linda Gask
| The first 150 words of the full text of this article appear below. |
The success of any consultation depends on how well the patient and doctor communicate with each other. There is now firm evidence linking the quality of this communication to clinical outcomes.
| Table Removed (Available Only in the Full Text) |
The dual focus
Patients are not exclusively
physically ill or exclusively emotionally distressed. Often they are
both. At the start of a consultation it is usually not possible to
distinguish between these states. It is the doctor's task to listen
actively to the patient's story, seeking and noticing evidence for
both physical illness and emotional distress.
Involving
patientsChanges in society and health care in the past decade
have resulted in real changes in what people expect from their doctors
and in how doctors view patients. In addition, greater emphasis has
been placed on the reduction of risk factors, with attempts to persuade
people to take preventive action and avoid risks to health. Many
patients want more information than
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